UNIFIED PROGRAM (UP) FORM

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UNIFIED PROGRAM (UP) FORM
CalARP PROGRAM REGULATED SUBSTANCE REGISTRATION
THIS PAGE IS TO BE COMPLETED FOR A STATIONARY SOURCE THAT HANDLES A REGULATED SUBSTANCE (RS) IN A
PROCESS AT OR ABOVE THE THRESHOLD QUANTITY. REGULATED SUBSTANCES (INCLUDING FEDERAL LISTED AND
STATE LISTED REGULATED SUBSTANCES) MUST BE REGISTERED FOR THE PURPOSE OF COMPLYING WITH THE Cal ARP
(CALIFORNIA ACCIDENTAL RELEASE PREVENTION) PROGRAM. THE OWNER OR OPERATOR SHALL COMPLETE A
HAZARDOUS MATERIALS INVENTORY FORM AND A REGISTRATION FOR EACH REGULATED SUBSTANCE PER EACH
PROCESS.
UPDATE
REASON FORM IS BEING SUBMITTED:
BUSINESS NAME
2
USEPA FACILITY ID #
246d
NAME OF CORPORATE PARENT COMPANY
PERSON RESPONSIBLE FOR RMP (First Name, Last Name)
PROGRAM LEVEL
1
2
3
247
E-MAIL ADDRESS (Optional)
246i
LONGITUDE
LOCATION DESCRIPTION
LEPC COMMITTEE (Optional)
208
DOES THE FACILITY HAVE SUBSTANCES
LISTED IN 40 CFR 355 APPENDIX A (EHS)?
YES
NO
IS FACILITY SUBJECT TO 29CFR 1910.119/CCR 8 SEC
5189(PSM) ?
YES
NO
CHEMICAL NAME
MAXIMUM DAILY AMOUNT
PROCESS DESCRIPTION
246e
246g
246h
PHONE NUMBER
RMP PREPARER MAILING ADDRESS
246c
106
COMPANY HOMEPAGE ADDRESS (Optional)
NAME OF RMP PREPARER
246k
WITHDRAWAL
DUN & BRADSTREET
TITLE
246f
PARENT COMPANY E-MAIL ADDRESS (Optional)
LATITUDE
DE-REGISTRATION
3
1
FACILITY ID#
CORRECTION
PHONE NUMBER FOR PUBLIC INQUIRIES (Optional)
246l
METHOD USED TO OBTAIN LATITUDE AND LONGITUDE
246n
NUMBER OF EMPLOYEES
246o
PROCESS
107NAICS
246p
246j
246m
107a
OSHA VOLUNTARY PROTECTION PROGRAM STATUS
(Optional)
246r
DO ANY PROCESSES REQUIRE A CLEAN AIR ACT
PERMIT NO.
TITLE V OPERATING PERMIT? YES NO
246q
246
t
246u
LAST SAFETY INSPECTION
DATE
AGENCY
205
218a
CAS#
UNITS IN POUNDS
246s
209
221
246v
246w
PRINCIPAL EQUIPMENT
CERTIFICATION
I, the owner or operator of the aforementioned business, hereby certify that the registration information provided above is true, accurate, and
complete to the best of my knowledge based upon reasonable inquiry. I am fully aware that this certification executed on the date indicated
below is made under penalty of perjury under the laws of the State of California.
246x
246y
OWNER/OPERATOR NAME
OWNER/OPERATOR TITLE
OWNER/OPERATOR SIGNATURE
246z
DATE
1
UP FORM (04/28/2010 Long Version)
THE CUPAs OF LOS ANGELES COUNTY
LAC4 UPFORMS3
UNIFIED PROGRAM (UP) FORM
CalARP PROGRAM REGULATED SUBSTANCE REGISTRATION
THIS PAGE IS TO BE COMPLETED FOR A STATIONARY SOURCE THAT HANDLES A REGULATED SUBSTANCE (RS) IN A
PROCESS AT OR ABOVE THE THRESHOLD QUANTITY. REGULATED SUBSTANCES (INCLUDING FEDERAL LISTED AND
STATE LISTED REGULATED SUBSTANCES) MUST BE REGISTERED FOR THE PURPOSE OF COMPLYING WITH THE Cal ARP
(CALIFORNIA ACCIDENTAL RELEASE PREVENTION) PROGRAM. THE OWNER OR OPERATOR SHALL COMPLETE A
HAZARDOUS MATERIALS INVENTORY FORM AND A REGISTRATION FOR EACH REGULATED SUBSTANCE PER EACH
PROCESS.
UPDATE
REASON FORM IS BEING SUBMITTED:
BUSINESS NAME
2
USEPA FACILITY ID #
246d
NAME OF CORPORATE PARENT COMPANY
PERSON RESPONSIBLE FOR RMP (First Name, Last Name)
PROGRAM LEVEL
1
2
3
247
E-MAIL ADDRESS (Optional)
246i
LONGITUDE
LOCATION DESCRIPTION
246h
246j
PHONE NUMBER FOR PUBLIC INQUIRIES (Optional)
246l
METHOD USED TO OBTAIN LATITUDE AND LONGITUDE
246n
NUMBER OF EMPLOYEES
246o
246m
107a
PROCESS
107NAICS
246p
LEPC COMMITTEE (Optional)
208
DOES THE FACILITY HAVE SUBSTANCES LISTED
IN 40 CFR 355 APPENDIX A (EHS)? YES
NO
IS FACILITY SUBJECT TO 29CFR 1910.119/CCR 8 SEC
5189(PSM) ?
YES
NO
CHEMICAL NAME
OSHA VOLUNTARY PROTECTION PROGRAM STATUS
(Optional)
246r
DO ANY PROCESSES REQUIRE A CLEAN AIR ACT
PERMIT NO.
TITLE V OPERATING PERMIT? YES NO
24
LAST SAFETY INSPECTION
6t
DATE
AGENCY
205
CAS#
218a
MAXIMUM DAILY AMOUNT
246e
246g
PHONE NUMBER
RMP PREPARER MAILING ADDRESS
246c
106
COMPANY HOMEPAGE ADDRESS (Optional)
NAME OF RMP PREPARER
246k
WITHDRAWAL
DUN & BRADSTREET
TITLE
246f
PARENT COMPANY E-MAIL ADDRESS (Optional)
LATITUDE
DE-REGISTRATION
3
1
FACILITY ID#
CORRECTION
246q
246s
246u
209
221
UNITS IN POUNDS
PROCESS DESCRIPTION
246v
PRINCIPAL EQUIPMENT
246w
CERTIFICATION
I, the owner or operator of the aforementioned business, hereby certify that the registration information provided above is true, accurate, and
complete to the best of my knowledge based upon reasonable inquiry. I am fully aware that this certification executed on the date indicated
below is made under penalty of perjury under the laws of the State of California.
246x
246y
OWNER/OPERATOR NAME
OWNER/OPERATOR TITLE
OWNER/OPERATOR SIGNATURE
OFFICIAL USE ONLY
DIV
BN
246z
DATE
DATE RECEIVED
STA
REVIEWED BY
DISTRICT
OTHER
CUPA
2
UP FORM (04/28/2010 Long Version)
THE CUPAs OF LOS ANGELES COUNTY
LAC4 UPFORMS3
PA
CalARP PROGRAM REGULATED SUBSTANCE REGISTRATION
This page is to be completed for a Stationary Source that handles a Regulated Substance (RS) in a process at or above the
threshold quantity. Regulated Substances (including Federal and State Listed Regulated Substances) must be registered for the
purpose of complying with the California Accidental Release Prevention (Cal ARP) program. The owner or operator shall complete a
Hazardous Materials Inventory – Chemical Description page and a Regulated Substance Registration for each Regulated Substance
per process. Contact your local agency (CUPA or PA) for any additional assistance.
1.
2.
3.
106.
107a.
205.
208.
209.
218a.
221.
246c.
246d.
246e.
246f.
246g.
246h.
246i.
246j
246k
246l.
246m.
246n.
246o.
246p.
246q.
246r.
246s.
246t.
246u.
246v.
246w.
246x.
246y.
246z.
247
Note: A list of Federal and State Regulated Substances is attached for your reference.
FACILITY ID NUMBER This number is assigned by the CUPA. This unique number identifies your facility.
EPA ID NUMBER Enter your facility’s 12-character EPA identification number issued by the USEPA.
BUSINESS NAME Enter the full legal name of the business.
DUN & BRADSTREET Enter the Dun and Bradstreet number of the Principal Company or entity which owns at least 50 percent of the voting stock. The Dun
and Bradstreet number allows your business to be cross-referenced to various business information. You may be able to obtain this number from your finance
department. If your business does not have this information, contact Dun and Bradstreet at (610) 882-7748 or via the internet at www.dnb.com.
PROCESS NAICS CODE Enter the specific North American Industry Classification System Code for the process using, treating, storing, producing, disposing,
or otherwise handling regulated substances.
CHEMICAL NAME Enter the proper chemical name associated with the Chemical Abstract Service (CAS) number of the
hazardous material. This should be the International Union of Pure and Applied Chemistry (IUPAC) name found on the Material Safety Data Sheet (MSDS).
EPCRA SECTION 355 Check "Yes" if the stationary source is subject to Part 355 of Title 40 of CFR.
CAS # Enter the Chemical Abstract Service number for the hazardous material.
MAXIMUM DAILY AMOUNT Enter the maximum amount of hazardous material or mixture containing a hazardous material which is handled in the
process at any one time over the course of the year.
UNITS IN POUNDS Leave this box blank. Note: All Regulated Substances must be reported in pounds to two significant digits.
PROGRAM LEVEL Indicate the proper Program Level this process falls under. Mark either Program 1, 2, or 3 to identify with which program the process
complies.
NAME OF CORPORATE PARENT COMPANY Enter the legal name of the Principal Company or entity which owns at least 50 percent of the voting stock.
PERSON RESPONSIBLE FOR RMP Enter name, title and (optional) e-mail address of the person designated as responsible for the RMP.
PARENT COMPANY E-MAIL ADDRESS (Optional) Enter the e-mail address of the parent company (optional information).
COMPANY HOMEPAGE ADDRESS (Optional) Enter the web address of the company (optional information).
NAME / PHONE NUMBER OF RMP PREPARER Enter the contractor’s name and phone number who prepared the RMP (if any).
RMP PREPARER MAILING ADDRESS Enter the mailing address of the contractor that prepared the RMP (if any).
PHONE NUMBER FOR PUBLIC INQUIRIES (Optional) Enter a phone number that the public may call if they have questions about your facility
or your RMP (optional information).
LATITUDE Enter the degrees of latitude where the chemical process is located. The latitude of your facility can be determined in several ways, including
through the use of U.S. Geological Survey (USGS), global positioning system (GPS) receivers, and web-based siting tools. Latitude is the degrees north or
south of the equator. Latitude is measured in degrees, minutes, and seconds. We recommend the use of USGS topographical quadrangle maps to make this
determination. When using USGS, the valid latitudes for LA County range from 3317'53N to 3449'14N. Be sure the latitude fits this range.
LONGITUDE Enter the degrees of longitude where the chemical process is located. The longitude of your facility can be determined in several ways, including
through the use of USGS, GPS receivers, and web-based siting tools. Longitude is the degrees east or west of the prime meridian. Longitude is measured in
degrees, minutes, and seconds. We recommend the use of USGS topographical quadrangle maps to make this determination. When using USGS, the valid
longitudes for LA County range from 11738'39W to 11856'39W. Be sure the latitude fits this range.
METHOD USED TO OBTAIN LATITUDE AND LONGITUDE Source of latitude and longitude information.
LOCATION DESCRIPTION A description of location that latitude and longitude represent.
NUMBER OF EMPLOYEES The number of full time employees at the stationary source.
LEPC COMMITTEE (Optional) Enter the Local Emergency Planning Committee to which the facility belongs (optional information).
OSHA VOLUNTARY PROTECTION PROGRAM STATUS (Optional) Enter whether you participate in this OSHA program and the status of your
facility (optional information). Program levels are Star, Merit, or Star Demonstration.
CAA TITLE V State and local operating permit programs are required under Title V of the Clean Air Act (40 CFR Part 70). Title V requires major sources of
air pollution to receive permits, pay fees to cover cost of administering the program, and sign a binding certification of compliance on all permit applications
and documents. Check the appropriate box, "yes" or "no."
PERMIT NUMBER If you have a Title V operating permit, enter the permit number.
OSHA PSM The OSHA Process Safety Management Standard, codified at 29 CFR 1910.119, is similar to the Program 3 prevention program, and is designed to
protect workers from the effects of accidental releases of hazardous substances. Note:
This question covers all processes at your facility; if any process at your facility is subject to OSHA PSM, you must answer yes even if the PSM process does
not involve a Regulated Substance. Answer the question either "yes" or "no."
LAST SAFETY INSPECTION Enter the date of the last safety inspection of your facility and indicate the Agency (OSHA, State OSHA, EPA, State EPA, Fire
Dept., etc..) that performed the inspection.
PROCESS DESCRIPTION Describe the process and/or operations involved in the use, treatment, storage, production, disposal or otherwise handling of the
regulated substances (include process pressures and temperature, and whether it is a raw material or an intermediate). Note: Any group of interconnected
vessels or separate vessels, located such that a regulated substance could be involved in a potential release, is considered a single process.
PRINCIPAL EQUIPMENT List the equipment and/or components used in the process involving the Regulated Substance.
NAME OF OWNER / OPERATOR The full name of the owner/operator who signed the registration page.
TITLE Enter the title of the person signing the page.
DATE Enter the date the page was signed.
REASON FORM IS BEING SUBMITTED Check “Update” box if the RMP is submitted for 5-year update, process change that requires a revised
PHA or hazard review or any reasons discussed in 19 CCR 2745.10; check “Correction” box if there is change or error in administrative
information, a new accident history information, or change in emergency contact information; check “De-registration” box if the facility is no longer
subject to the CalARP Program; check “Withdrawal” box if the facility was erroneously considered subject to the CalARP Program.
3
UP FORM (04/28/2010 Long Version)
THE CUPAs OF LOS ANGELES COUNTY
LAC4 UPFORMS3
CalARP PROGRAM REGULATED SUBSTANCES LIST
CHEMICAL NAME
CAS #
TQ
(lbs)
Acetaldehyde
75-07-0
10,000
* Acetone Cyanohydrin
75-86-5
1,000
Acetone Thiosemicarbazide
1752-30-3 1,000/10,0001
Acetylene (Ethyne)
74-86-2
10,000
Acrolein (2-Propenal)
107-02-8 500
Acrylamide
79-06-1
1,000/10,0001
Acrylonitrile (2- Propenenitrile)
107-13-1 10,000
Acrylyl Chloride (2-Propenoyl Chloride)
814-68-6 100
Aldicarb
116-06-3 100/10,0001
Aldrin
309-00-2 500/10,0001
Allyl Alcohol (2-Propen-1-ol)
107-18-6 1,000
Allylamine (2-Propen-1-Amine)
107-11-9 500
Aluminum Phosphide
20859-73-8
500
Aminopterin
54-62-6
500/10,0001
1
Amiton Oxalate
3734-97-2 100/10,000
Ammonia, Anhydrous 2
7664-41-7 500
Ammonia, Aqueous
7664-41-7 500
* Aniline
62-53-3
1,000
Antimycin A
1397-94-0 1,000/10,0001
ANTU (1-Naphthalenylthiourea)
86-88-4
500/10,0001
Arsenic Pentoxide
1303-28-2 100/10,0001
Arsenous Oxide (Arsenic Trioxide)
1327-53-3 100/10,0001
Arsenous Trichloride
7784-34-1 500
Arsine (Arsenic Hydride)
7784-42-1 100
Azinphos-Ethyl
2642-71-9 100/10,0001
Azinphos-Methyl [Guthion]
86-50-0
10/10,0001
Benzene, 1-(Chloromethyl)-4-Nitro100-14-1 500/10,0001
Benzenearsonic Acid
98-05-5
10/10,0001
Benzimidazole,4,5-Dichloro-2-(Trifluoromethyl)3615-21-2 500/10,0001
* Benzotrichloride (Benzoictrichloride)
98-07-7
100
Bicyclo(2.2.1) Heptane-2-Carbonitrile, 5-Chloro6-((((Methylamino)Carbonyl)Oxy)Imino)-,
(1s-(1-alpha, 2-beta, 4-alpha, 5-alpha, 6E))- 15271-41-7 500/10,0001
Bis(Chloromethyl) Ketone
534-07-6 10/10,0001
Bitoscanate
4044-65-9 500/10,0001
Boron Trichloride (Trichloroborane)
10294-34-5 500
Boron Trifluoride (Trifluoroborane)
7637-07-2 500
Boron Trifluoride Compound w/Methyl Ether(1:1)
(Boron, Trifluoro (Oxybis (Metane)))-,T-4353-42-4 1,000
Bromadiolone
28772-56-7 100/10,0001
Bromine
7726-95-6 500
Bromotrifluorethylene (Ethene, Bromotrifluoro-) 598-73-2 10,000
1,3-Butadiene
106-99-0 10,000
Butane
106-97-8 10,000
Butene
25167-67-3 10,000
1-Butene
106-98-9 10,000
2-Butene
107-01-7 10,000
2-Butene-cis
590-18-1 10,000
2-Butene-trans (2-Butene, (E))
624-64-6 10,000
Cadmium Oxide
1306-19-0 100/10,0001
Cadmium Stearate
2223-93-0 1,000/10,0001
Calcium Arsenate
7778-44-1 500/10,0001
Camphechlor
8001-35-2 500/10,0001
Cantharidin
56-25-7
100/10,0001
Carbachol Chloride
51-83-2
500/10,0001
Carbamic Acid, Methyl-,o-(((2,4-Dimethyl1,3-Dithiolan-2-YL) Methylene)Amino)26419-73-8 100/10,0001
Carbofuran
1563-66-2 10/10,0001
Carbon Disulfide
75-15-0
10,000
Carbon Oxysulfide (Carbon Oxide Sulfide (COS)) 463-58-1 10,000
Chlorine
7782-50-5 100
Chlorine Dioxide (Chlorine Oxide (ClO2))
10049-04-4 1,000
c
Chlorine Monoxide (Chlorine Oxide)
7791-21-1 10,000
1
Chlormequat Chloride
999-81-5 100/10,000
Chloroacetic Acid
79-11-8
100/10,0001
Chloroform (Methane, trichloro-)
67-66-3
10,000
Chloromethyl Ether (Methane,Oxybis(chloro-) 542-88-1 100
Chloromethyl Methyl Ether (Chloromethoxymethane) 107-30-2 100
Chlorophacinone
3691-35-8 100/10,0001
1-Chloropropylene (1-Propene, 1-Chloro-)
590-21-6 10,000
2-Chloropropylene (1-Propene, 2-Chloro-)
557-98-2 10,000
Chloroxuron
1982-47-4 500/10,0001
Chromic Chloride
10025-73-7 1/10,000 1
Cobalt,((2,2'-(1,2-Ethanediylbis(Nitrilomethylidine))
Bis(6-Fluorophenolato))(2-)-N,N',O,O')62207-76-5 100/10,0001
Cobalt Carbonyl
10210-68-1 10/10,0001
Colchicine
64-86-8
10/10,0001
Coumaphos
56-72-4
100/10,0001
Coumatetralyl
5836-29-3 500/10,0001
o-Cresol
95-48-7
1,000/10,0001
Crimidine
535-89-7 100/10,0001
Crotonaldehyde ((E)-(2-Butenal,(E))-)
123-73-9 1,000
Listing
Basis
g
CHEMICAL NAME
TQ
Listing
(lbs)
Basis
Crotonaldehyde (2-Butenal)
4170-30-3 1,000
b
Cyanogen (Ethanedinitrile)
460-19-5 10,000
f
1
Cyanogen Bromide
506-68-3 500/10,000
Cyanogen Chloride
506-77-4 10,000
c
Cyanogen Iodide
506-78-5 1,000/10,0001
Cyanuric Fluoride
675-14-9 100
Cycloheximide
66-81-9
100/10,0001
Cyclohexylamine (Cyclohexanamine)
108-91-8 10,000
b
Cyclopropane
75-19-4
10,000
f
1
Decaborane (14)
17702-41-9 500/10,000
1
Dialifor
10311-84-9 100/10,000
Diborane
19287-45-7 100
b
Dichlorosilane (Silane, Dichloro-)
4109-96-0 10,000
f
* Diepoxybutane
1464-53-5 500
Difluoroethane (Ethane, 1,1-Difluoro-)
75-37-6
10,000
f
Digitoxin
71-63-6
100/10,0001
1
Digoxin
20830-75-5 10/10,000
Dimethoate
60-51-5
500/10,0001
Dimethyl-p-Phenylenediamine
99-98-9
10/10,0001
* Dimethyl Sulfate
77-78-1
500
Dimethylamine (Methanamine, N-Methyl-)
124-40-3
10,000
f
Dimethyldichlorosilane
75-78-5
500
b
Dimethylhydrazine (1,1-Dimethylhydrazine)
57-14-7
1,000
b
2,2-Dimethylpropane (Propane, 2,2-Dimethyl-) 463-82-1
10,000
f
Dimetilan
644-64-4
500/10,0001
Dinitrocresol (4,6-Dinitro-o-Cresol)
534-52-1
10/10,0001
Dinoseb
88-85-7
100/10,0001
Dinoterb
1420-07-1
500/10,0001
Diphacinone
82-66-6
10/10,0001
* Disulfoton
298-04-4
500
Dithiazanine Iodide
514-73-8
500/10,0001
Dithiobiuret
541-53-7
100/10,0001
Emetine, Dihydrochloride
316-42-7
1/10,0001
Endosulfan
115-29-7
10/10,0001
Endothion
2778-04-3
500/10,0001
Endrin
72-20-8
500/10,0001
Epichlorohydrin ((Chloromethyl) Oxirane)
106-89-8
1,000
b
EPN (Phenylphosphonothioic Acid o-Ethylo(4-Nitrophenyl) Ester)
2104-64-5 100/10,0001
Ergocalciferol
50-14-6
1,000/10,0001
Ergotamine Tartrate
379-79-3
500/10,0001
Ethane
74-84-0
10,000
f
Ethyl Acetylene (1-Butyne)
107-00-6
10,000
f
Ethyl Chloride (Ethane, Chloro-)
75-00-3
10,000
f
Ethyl Ether (Ethane, 1,1'-Oxybis-)
60-29-7
10,000
g
Ethyl Mercaptan (Ethanethiol)
75-08-1
10,000
g
Ethyl Nitrite (Nitrous Acid, Ethyl Ester)
109-95-5
10,000
f
Ethylamine (Ethanamine)
75-04-7
10,000
f
Ethylene (Ethene)
74-85-1
10,000
f
Ethylene Fluorohydrin
371-62-0
10
Ethylene Oxide (Oxirane)
75-21-8
1,000
a,b
Ethylenediamine (1,2-Ethanediamine)
107-15-3
10,000
b
Ethyleneimine (Aziridine)
151-56-4
500
b
1
Fenamiphos
22224-92-6
10/10,000
1
Fluenetil
4301-50-2
100/10,000
Fluorine
7782-41-4
500
b
Fluoroacetamide
640-19-7
100/10,0001
1
Fluoroacetic Acid
144-49-0
10/10,000
Fluoroacetyl Chloride
359-06-8
10
Fluorouracil
51-21-8
500/10,0001
Formaldehyde 2
50-00-0
500
b
Formetanate Hydrochloride
23422-53-9
500/10,0001
1
Formparanate
17702-57-7
100/10,000
Fuberidazole
3878-19-1
100/10,0001
Furan
110-00-9
500
b
Gallium Trichloride
13450-90-3
500/10,000
Hydrazine
302-01-2
1,000
b
Hydrochloric Acid (conc 37% or greater)
7647-01-0
15,000
d
Hydrocyanic Acid
74-90-8
100
a,b
Hydrogen
1333-74-0
10,000
f
Hydrogen Chloride,(Gas)
7647-01-0
500
a
Hydrogen Cyanide (Hydrocyanic Acid), (Gas) 74-90-8
100
Hydrogen Fluoride/Hydrofluoric Acid
(Hydrofluoric Acid)
7664-39-3
100
a,b
Hydrogen Selenide
7783-07-5
10
b
Hydrogen Sulfide
7783-06-4
500
a,b
4
1
* Hydroquinone
123-31-9
500/10,000
Iron, Pentacarbonyl(Iron Carbonyl (Fe(CO)5, (TB-5-11)-)
13463-40-6
100
b
Isobenzan
297-78-9
100/10,0001
Isobutane (Propane, 2-Methyl)
75-28-5
10,000
f
f
b
b
b
b
b
a,b
a,b
b
b
b
b
b
a,b
f
f
f
f
f
f
f
f
b
f
a,b
f
b
b
b
g
g
CAS #
b
4
UP FORM (04/28/2010 Long Version)
THE CUPAs OF LOS ANGELES COUNTY
LAC4 UPFORMS3
CalARP PROGRAM REGULATED SUBSTANCES LIST
CHEMICAL NAME
CHEMICAL NAME
CAS #
TQ
(lbs)
Isobutyronitrile (2-Methylpropanenitrile)
78-82-0
1,000
Isocyanic Acid,3,4-Dichlorophenyl Ester
102-36-3 500/10,0001
Isodrin
465-73-6 100/10,0001
Isopentane (Butane, 2-Methyl-)
78-78-4
10,000
Isophorone Diisocyanate
4098-71-9 100
Isoprene (1,3-Butadiene, 2-Methyl-)
78-79-5
10,000
Isopropyl Chloride (Propane, 2-Chloro-)
75-29-6
10,000
Isopropyl Chloroformate (Carbonochloridic Acid,
1-Methylethyl Ester)
108-23-6 1,000
Isopropylamine (2-Propanamine)
75-31-0
10,000
Leptophos
21609-90-5 500/10,0001
* Lewisite (Chlorovinylarsine Dichloride)
541-25-3 10
Lindane
58-89-9
1,000/10,0001
Lithium Hydride
7580-67-8 100
Malononitrile
109-77-3 500/10,0001
* Manganese,Tricarbonyl
Methylcyclopentadienyl
12108-13-3 100
Mercuric Acetate
1600-27-7 500/10,0001
Mercuric Chloride
7487-94-7 500/10,0001
Mercuric Oxide
21908-53-2 500/10,0001
Methacrylonitrile (Methylacrylonitrile)
(2-Methyl-2-Propenenitrile)
126-98-7 500
Methacryloyl Chloride
920-46-7 100
Methacryloyloxyethyl Isocyanate
30674-80-7 100
Methamidophos
10265-92-6 100/10,0001
Methane
74-82-8
10,000
Methanesulfonyl Fluoride
558-25-8 1,000
Methidathion
950-37-8 500/10,0001
Methiocarb (Mercaptodimethur)
2032-65-7 500/10,0001
Methomyl
16752-77-5 500/10,0001
Methoxyethylmercuric Acetate
151-38-2 500/10,0001
2-Methyl-1-Butene
563-46-2 10,000
3-Methyl-1-Butene
563-45-1 10,000
Methyl 2-Chloroacrylate
80-63-7
500
Methyl Bromide (Bromomethane)
74-83-9
1,000
Methyl Chloride (Methane, Chloro-)
74-87-3
10,000
Methyl Chloroformate
(Carbonochloridic Acid, Methyl Ester)
79-22-1
500
Methyl Ether (Methane, Oxybis-)
115-10-6 10,000
Methyl Formate (Formic Acid, Methyl Ester) 107-31-3 10,000
Methyl Hydrazine
60-34-4
500
Methyl Isocyanate (Isocyanatomethane)
624-83-9 500
Methyl Isothiocyanate
556-61-6 500
Methyl Mercaptan (Methanethiol) (Thiomethanol) 74-93-1 500
Methyl Parathion (Parathion Methyl)
298-00-0 100/10,0001
Methyl Phosphonic Dichloride
676-97-1 100
Methyl Thiocyanate (Thiocyanic Acid,
Methyl Ester)
556-64-9 10,000
b
Methyl Vinyl Ketone
78-94-4
10
Methylamine (Methanamine)
74-89-5
10,000
Methylmercuric Dicyanamide
502-39-6 500/10,0001
2-Methylpropene (1-Propene, 2-Methyl-)
115-11-7 10,000
Methyltrichlorosilane (Trichloromethylsilane) 75-79-6
500
Metolcarb
1129-41-5 100/10,0001
Mexacarbate
315-18-4 500/10,0001
Mitomycin C
50-07-7
500/10,0001
Monocrotophos
6923-22-4 10/10,0001
Muscimol (5-(Aminomethyl)-3-Isoxazolol)
2763-96-4 500/10,0001
* Mustard Gas (2,2'- Dichloroethyl Sulfide)
505-60-2 500
Nickel Carbonyl (Nickel Tetracarbonyl)
13463-39-3 1
Nicotine Sulfate
65-30-5
100/10,0001
Nitric Acid
7697-37-2 1,000
Nitric Oxide (Nitrogen Monoxide (NO))
10102-43-9 100
* Nitrobenzene
98-95-3
10,000
Nitrogen Dioxide
10102-44-0 100
* Nitrogen Mustard (Mechlorethamine)
51-75-2
10
Norbormide
991-42-4
100/10,0001
Oleum (Fuming Sulfuric Acid) (Sulfuric Acid,
mixture with Sulfur Trioxide)5
8014-95-7 10,000
Organorhodium Complex (PMN-82-147)
MIXTURE 10/10,0001
Ouabain
630-60-4
100/10,0001
Oxamyl
23135-22-0 100/10,0001
Ozone
10028-15-6 100
Paraquat Methosulfate
2074-50-2 10/10,0001
Paraquat (Paraquat Dichloride)
1910-42-5 10/10,0001
Paris Green (Cupric Acetoarsenite)
12002-03-8 500/10,0001
Pentaborane
19624-22-7 500
Pentadecylamine
2570-26-5 100/10,0001
1,3-Pentadiene
504-60-9
10,000
Pentane
109-66-0
10,000
1-Pentene
109-67-1
10,000
2-Pentene, (E)646-04-8
10,000
2-Pentene, (Z)627-20-3
10,000
Peracetic Acid
(Ethaneperoxoic Acid) (Peroxyacetic Acid)
79-21-0
500
Perchloromethylmercaptan
(Trichloromethanesulfonyl Chloride)
594-42-3 500
Phenol
108-95-2 500/10,0001
Phenol, 2,2'-Thiobis(4-Chloro-6-Methyl)
4418-66-0 100/10,0001
Phenol, 3-(1-Methylethyl)-, Methylcarbamate) 64-00-6
500/10,0001
Phenoxarsine, 10, 10' - Oxydi58-36-6
500/10,0001
* Phenyldichloroarsine
(Dichlorophenylarsine) (Lewisite Variant)
696-28-6 500
CAS #
TQ
(lbs)
1,000/10,0001
500/10,0001
100/10,0001
100/10,0001
10
100/10,0001
100/10,0001
Phenylhydrazine Hydrochloride
59-88-1
Phenylmercury Acetate
62-38-4
Phenylsilatrane
2097-19-0
Phenylthiourea
103-85-5
* Phorate
298-02-2
Phosacetim
4104-14-7
Phosfolan
947-02-4
Phosgene (Carbonyl Chloride)
(Carbonic Dichloride)
75-44-5
10
Phosmet
732-11-6 10/10,0001
Phosphine (Hydrogen Phosphide)
7803-51-2 500
* Phosphonothioic Acid, Methyl-,S-(2-(Bis
(1-Methylethyl)Amino)Ethyl) O-Ethyl Ester
50782-69-9 100
Phosphorus
7723-14-0 100
Phosphorus Oxychloride
10025-87-3 500
Phosphorus Pentachloride
10026-13-8 500
Phosphorus Trichloride
7719-12-2 1,000
Physostigmine
57-47-6
100/10,0001
Physostigmine, Salicylate (1:1)
57-64-7
100/10,0001
Picrotoxin
124-87-8
500/10,0001
Piperidine
110-89-4
1,000
Potassium Arsenite
10124-50-2 500/10,0001
Potassium Cyanide
151-50-8
100
Potassium Silver Cyanide
506-61-6
500
Promecarb
2631-37-0 500/10,0001
Propadiene (1,2-Propadiene)
463-49-0
10,000
Propane
74-98-6
10,000
Propargyl Bromide (3-Bromopropyne)
106-96-7
10
* beta-Propiolactone
57-57-8
500
Propionitrile (Propanenitrile)(Ethyl Cyanide) 107-12-0
500
Propiophenone, 4'-Amino70-69-9
100/10,0001
Propyl Chloroformate
(Carbonochloridic Acid, Propylester)
109-61-5
500
Propylene (1-Propene)
115-07-1
10,000
Propylene Oxide (Methyloxirane)
75-56-9
10,000
Propyleneimine (2-Methylaziridine)
75-55-8
10,000
Propyne (1-Propyne)
74-99-7
10,000
Prothoate
2275-18-5
100/10,0001
Pyrene
129-00-0
1,000/10,0001
Pyridine, 4-Amino504-24-5
500/10,0001
Pyridine, 4-Nitro-, 1-Oxide
1124-33-0
500/10,0001
Pyriminil
53558-25-1 100/10,0001
Salcomine
14167-18-1 500/10,0001
* Sarin
107-44-8
10
Selenious Acid
7783-00-8
1,000/10,0001
Semicarbazide Hydrochloride
563-41-7
1,000/10,0001
Silane
7803-62-5
10,000
Sodium Arsenate
7631-89-2
1,000/10,0001
Sodium Arsenite
7784-46-5
500/10,0001
Sodium Azide (Na (N3))
26628-22-8 500
Sodium Cacodylate
124-65-2
100/10,0001
Sodium Cyanide (Na (CN))
143-33-9
100
Sodium Fluoroacetate
62-74-8
10/10,0001
Sodium Selenate
13410-01-0 100/10,0001
Sodium Selenite
10102-18-8 100/10,0001
Sodium Tellurite
10102-20-2 500/10,0001
Stannane, Acetoxytriphenyl900-95-8
500/10,0001
Strychnine
57-24-9
100/10,0001
Strychnine, Sulfate
60-41-3
100/10,0001
Sulfur Dioxide (Anhydrous)
7446-09-5
500
Sulfur Tetrafluoride
7783-60-0
100
* Sulfuric Acid 3
7664-93-9
1,000
* Tabun
77-81-6
10
Tellurium Hexafluoride
7783-80-4
100
Tetrafluoroethylene (Ethene, Tetrafluoro-)
116-14-3
10,000
Tetramethyllead (Tetramethylplumbane)
75-74-1
100
Tetramethylsilane (Silane, Tetramethyl-)
75-76-3
10,000
Tetranitromethane (Methane, Tetranitro-)
509-14-8
500
Thallium Sulfate
10031-59-1 100/10,0001
Thallous Carbonate (Thallium (1) Carbonate) 6533-73-9
100/10,0001
Thallous Chloride (Thallium Chloride)
7791-12-0
100/10,0001
Thallous Malonate (Thallium Malonate)
2757-18-8
100/10,0001
Thallous Sulfate
7446-18-6
100/10,0001
Thiocarbazide
2231-57-4
1,000/10,0001
Thiofanox
39196-18-4 100/10,0001
Thiosemicarbazide
79-19-6
100/10,0001
Thiourea, (2-Chlorophenyl)5344-82-1
100/10,0001
Thiourea, (2-Methylphenyl)614-78-8
500/10,0001
Titanium Tetrachloride
7550-45-0
100
Toluene-2,6-Diisocyanate
(1,3-Diisocyanato-2-Methylbenzene)5
91-08-7
100
Toluene-2,4-Diisocyanate
5
(2,4-Diisocyanato-1-Methylbenzene)
584-84-9
500
Toluene Diisocyanate (unspecified isomer)
5
(Benzene,1,3-Diisocyanatomethyl-)
26471-62-5 10,000
Triamiphos
1031-47-6
500/10,0001
Trichloro(Chloromethyl)Silane
1558-25-4
100
Trichloro(Dichlorophenyl)Silane
27137-85-5 500
Trichlorosilane (Silane, Trichloro-)
10025-78-2 10,000
Triethoxysilane
998-30-1
500
Trifluorochloroethylene
79-38-9
10,000
Trimethylamine (Methanamine, N,N-dimethyl-) 75-50-3
10,000
Trimethylchlorosilane (Chlorotrimethylsilane) 75-77-4
1,000
Trimethylolpropane Phosphite
824-11-3
100/10,0001
Listing
Basis
b
g
g
g
b
g
b
f
g
f
a
b
f
g
b
a,b
b
f
f
b
b
b
b
e
f
g
g
g
g
b
b
5
UP FORM (04/28/2010 Long Version)
THE CUPAs OF LOS ANGELES COUNTY
LAC4 UPFORMS3
Listing
Basis
a,b
b
b
b
b
f
f
b
b
f
b
b
f
f
a,b
b
f
b
g
b
b
a
a
a
g
f
f
b
CalARP PROGRAM REGULATED SUBSTANCES LIST
CHEMICAL NAME
CAS #
Trimethyltin Chloride
Triphenyltin Chloride
* Tris(2-Chloroethyl)Amine
Valinomycin
Vanadium Pentoxide
Vinyl Acetate Monomer (Vinyl Acetate)
(Acetic Acid, Ethenyl Ester)
Vinyl Acetylene (1-Buten-3-Yne)
Vinyl Chloride (Ethene, Chloro-)
Vinyl Ethyl Ether (Ethene, Ethoxy-)
Vinyl Fluoride (Ethene, Fluoro-)
Vinyl Methyl Ether (Ethene, Methoxy-)
Vinylidene Chloride (Ethene, 1,1-Dichloro-)
Vinylidene Fluoride (Ethene, 1,1-Difluoro-)
Warfarin
Warfarin Sodium (Coumadin) (Sodium salt)
Xylylene Dichloride
Zinc, Dichloro(4,4-Dimethyl-5((((Methylamino)
Carbonyl)Oxy)Imino)Pentanenitrile)-, (T-4)Zinc Phosphide
1066-45-1
639-58-7
555-77-1
2001-95-8
1314-62-1
TQ
(lbs)
500/10,0001
500/10,0001
100
1,000/10,0001
100/10,0001
108-05-4
689-97-4
75-01-4
109-92-2
75-02-5
107-25-5
75-35-4
75-38-7
81-81-2
129-06-6
28347-13-9
1,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
500/10,0001
100/10,0001
100/10,0001
Listing
Basis
b
f
a,f
g
f
f
g
f
58270-08-9 100/10,0001
1314-84-7
500
*
Substances delisted failing physical criteria test and relisted pursuant to health impacts.
These extremely hazardous substances are solids. The lesser quantity listed applies only if in powdered form
and with a particle size of less than 100 microns; or if handled in solution or in molten form; or the substance has an
NFPA rating for reactivity of 2, 3, or 4. Otherwise, a 10,000 pound threshold applies.
2
Appropriate synonyms or mixtures of regulated substances with the same CAS number are also regulated, e.g.,
anhydrous ammonia,formalin.
3
Sulfuric acid is a State Regulated Substance only under the following conditions:
a.
If concentrated with greater than 100 pounds of sulfur trioxide or the acid meets the definition of
oleum. (The threshold for sulfur trioxide is 100 pounds.) (The threshold for oleum is 10,000 pounds.)
b.
If in a container with flammable hydrocarbons (flash point < 73 F).
4
Hydroquinone is exempt in crystalline form.
5
The mixture exemption in Section 2770.2(b)(1) does not apply to the Substance.
1
LEGEND: Basis for Listing:
a.
Mandated for listing by Congress.
b.
On EHS list, vapor pressure 10 mmHg or greater.
c.
Toxic gas.
d.
Toxicity of hydrogen chloride, potential to release hydrogen chloride, and history of accidents.
e.
Toxicity of sulfur trioxide and sulfuric acid, potential to release sulfur trioxide, and history of accidents.
f.
Flammable gas.
g.
Volatile flammable liquid.
6
UP FORM (04/28/2010 Long Version)
THE CUPAs OF LOS ANGELES COUNTY
LAC4 UPFORMS3
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